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Azure does have the only HIPAA compliant media transcoding service (as far as I know). The API is terrible but it works.

For what it’s worth AWS’s MediaConvert is HIPAA compliant. Have one client whose been using it with that in mind. https://aws.amazon.com/compliance/hipaa-eligible-services-re...

Might I ask the use case. Didn't even realize that HIPAA compliant transcoding was a thing

I am guessing more than compliant it is just some corporate captive market thing where there is only one "compliant" transcoder